Premiere Medical Associates, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO7163 Issued in TN

Legal business name

PREMIERE MEDICAL ASSOCIATES, PLLC

Practice address

522B Brandies Cir
Suite 2
Murfreesboro, TN 37128-4872

Phone

(615) 867-1602

Fax

(615) 867-1611

NPI assigned

Jul 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Doreen L Vincent, DO

Title

Owner

Phone

(615) 867-1602

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487677894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332505",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371332505",
            "telephone_number": "615-867-1602",
            "fax_number": "615-867-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522B BRANDIES CIR",
            "address_2": "SUITE 2",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284872",
            "telephone_number": "615-867-1602",
            "fax_number": "615-867-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-867-1602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO7163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.